Policies & General Information Agreement

General Policies

Confidentiality

All information within sessions and the written/audio records pertaining to those sessions are confidential and may not be revealed to anyone without your written permission, except when disclosure is required by law. Most of the provisions explaining when the law requires disclosure were described to you in the “Notice of Privacy Practices”.

When Disclosure is Required by Law

Some of the circumstances where disclosure is required by law are: where there is reasonable suspicion of child, dependent, or elder abuse or neglect; and where a client presents a danger to self, to others, to property, or is gravely disabled.

When Disclosure May be Required

Disclosure may be required pursuant to a legal proceeding. If you place your mental status at issue in litigation initiated by you, the defendant may have the right to obtain the transformational therapy records and/or testimony by your practitioner.

Emergencies

If there is an emergency during our work together, or, in the future after termination where I become concerned about your personal safety, the possibility of you injuring someone else, or about your need to receive proper psychiatric care, I will do whatever I can within the limits of the law to prevent you from injuring yourself or others and to ensure that you receive the proper medical care. This may include contacting the person whose name you have provided on the Client Information Form.

Legal testimony

It is my policy not to appear in court in legal proceedings (such as, but not limited to divorce and custody disputes, injuries) and ask that neither you, nor your attorney, nor anyone acting in your behalf request legal testimony or the disclosure of Inner Tranquility transformation records. Under court order, I may be required to provide testimony. My fee for court testimony or depositions is 150% of my hourly fee. This fee is payable in advance and is required even if I am not called to testify.

Consultation

As part of my contract for professional accountability and growth I will consult regularly with other professionals regarding client’s personal care planning, however, the client’s name and other identifying information is never mentioned. Client identity remains completely anonymous and full confidentiality is maintained.

Telephone and Emergency Procedures

If you need to contact me outside of any scheduled appointments, please message on my confidential email and your email will be returned as soon as possible. I check my messages several times each day. If I am out of town, I promise to get back to you no more than two days. If an emergency or life threatening situation arises and you need to talk to someone right away you can call the 24 hour crisis line at 211 or the emergency number (911).

Office Policies

Payment

Clients are expected to pay the transformation service fee per session, a non-refundable deposit fee is due at the time of booking. Remainder fee is due at the 1:1 pre-session call before the time of the session unless other arrangements have been made. Inner Tranquility is a private pay company that does not accept any type of insurance.

A non-refundable deposit is due at the time of booking, to protect the provider in circumstances of sudden cancellation and to compensate the provider for the time, effort and money expended up to that point. Accepted methods of payment are Venmo, PayPal, Stripe and Cash App. For in person session, cash may also be a method of payment.

Telephone conversations, site visits, report writing and reading, consultation with other professionals, etc. will be charged at the rate of $275.00 unless indicated and agreed otherwise. Clients should remember that professional services are rendered and charged to the clients.

Dispute Resolution

In the extremely rare circumstance that we have a dispute that cannot be resolved between us, we both agree that the dispute shall first be referred to mediation, before , and as a pre- condition of, the mediation, if any, shall be split equally, unless otherwise agreed. In the event that mediation is unsuccessful, any unresolved controversy shall be submitted to and settled by binding arbitration in Pinellas County, Florida in accordance with the rules of the American Arbitration Association which are in effect at the time the demand for arbitration is filed.

Termination and Referrals

In some cases, I may refer you to another professional. If I do so, I will provide you with a number of referrals that you can contact. If, at any point during the transformation, I assess that I am not effective in helping you reach your goals I will discuss this with you and, if appropriate, may recommend you to someone who specializes in your situation. In this case, I will provide you with a list of referrals.

With your written permission I will discuss our session with the new professional provider of your choice in order to help with the transition.

If, at any time, you want another professional’s opinion or wish to consult with another practitioner I will assist you in finding someone qualified.

You have the right to terminate the transformation session at any time. If you choose to do so, I will offer to provide you with names of other qualified professionals.

Outcomes and Length of Treatment

Typically the client will only need just one session; but no more than three sessions unless the client needs further evaluation for a more complex situation. At the end of every session, you will receive a personalized recording that you are required to listen to for at least 21 days to help make the transformation successful.

The success of transformation is partially dependent upon the depth of commitment of each individual client, therefore, specific outcomes cannot be guaranteed. The length of treatment is unique to each individual client. The client’s goals, ability and willingness to invest time and energy into the session(s) and between session work/practice are factors that greatly influence the outcome and length of the sessions.

Cancellation

Since scheduling of an appointment involves the reservation of time specifically for you, a minimum of 48 hours notice is required for re-scheduling or canceling an appointment. Unless we reach a different agreement, the full fee will be charged for sessions missed without such notification.